Adrenalectomy Rates Remain High in Radical Nephrectomy

Small decrease in rate of adrenalectomy despite evidence to support preservation of adrenal gland

WEDNESDAY, Jan. 25 (HealthDay News) -- During a recent 10-year period, the rate of ipsilateral adrenalectomy at the time of radical nephrectomy decreased slightly, according to a study published in the February issue of The Journal of Urology.

Stanley A. Yap, M.D., of the University of Toronto, and colleagues identified 5,135 patients who underwent radical nephrectomy between 1995 and 2004, and used pathology reports to assess ipsilateral adrenalectomy and tumor involvement of the adrenal gland.

The researchers found a 1.4 percent overall rate of adrenal gland involvement with cancer (74 cases). In tumors larger than 7 cm, the adrenal gland was involved in 3.2 percent of tumors, compared with 0.89 and 0.63 percent of tumors 4 to 7 cm or smaller than 4 cm, respectively. The overall adrenalectomy rate was 40.1 percent, and decreased from 40.6 percent in 1995 to 34.8 percent in 2004. On multivariable analysis, factors associated with adrenal removal included tumors larger than 7 cm, presence of venous thrombus, upper pole location, higher hospital volume, and academic status of the surgeon or hospital.

"Despite evidence to support preservation of the ipsilateral adrenal gland during radical nephrectomy, the rate of adrenalectomy decreased only slightly in 10 years. Adrenalectomy remains overused in populations that are unlikely to benefit from the procedure," the authors conclude.

Abstract
Full Text (subscription or payment may be required)

Copyright © 2012 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles Recommended Nursing Articles

Abdominal Pain: An Approach to a Challenging Diagnosis
AACN Advanced Critical Care, July/September 2014
Free access will expire on October 13, 2014.


HIPAA Compliance Practice Tips
Professional Case Management, July/August 2014
Free access will expire on September 29, 2014.


Follow the leader: How does “followership” influence nurse burnout?
Nursing Management, August 2014
Free access will expire on September 29, 2014.


More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events